29 results
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... common culprits: Hypovolemia ... IMPROVEMENT If the urine ... CONSIDER INTRINSIC CAUSES ... workup #diagnosis #nephrology
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute Managment ... therapy (MET): e.g ... involvement: eyes, TFT, ECG ... #Pediatrics #nephrology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... • Hypocalcemia ... 1 gm/hour • Pediatric ... /min • Pediatric ... 1b (lidocaine)- case
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... Summary Causes ... Dermatomyositis Clinical ... Weakness - Dark urine ... #nephrology
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... colored compounds (e.g ... heme, bilirubin, etc ... #Urine #Microscopy ... #nephrology #interpretation
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach to Hypokalemia ... changes (especially QT ... incongruous with clinical ... Internet Book of Critical ... #Management #CriticalCare
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
epilepticus which may cause ... epilepticus may cause ... aspiration, hyperkalemia ... #Management #Neurology ... #CriticalCare #
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... , medications, etc ... Saline: • If Urine ... SatyaPatelMD #SIADH #Management ... #hyponatremia #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
and Management ... heparinized tube) • ECG ... lysis) ± Urine ... only if no clear cause ... Treatment #potassium #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm

Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... nephron - TTKG > 7, Urine ... • Low EABV (e.g ... • NSAlDs #Hyperkalemia ... IntercellularShift #Nephrology